Atypical Cat-Scratch Disease in Children: Report of Seven Presentations Ranging From Hepatosplenic Disease to Horner Syndrome
| Author | Olivier Gilliaux | en |
| Author | Valerie Ghilain | en |
| Author | Dimitri van der Linden | en |
| Author | Jean Philippe Stalens | en |
| Author | Catherine Heijmans | en |
| Author | Jacques Louis | en |
| Author | Christiane Vermylen | en |
| Author | Christophe F. Chantrain | en |
| Issued Date | 2016-01-01 | en |
| Abstract | Introduction: Cat scratch disease (CSD) is an infectious disease caused by the Gram-negative rod Bartonella henselae (BH). It usually leads to subacute loco-regional lymphadenitis occasionally associated with fever. In most of the cases, it resolves spontaneously within 4 - 6 weeks. However, CSD has also been associated with other atypical presentations. Case Presentation: We reported a series of seven children with unusual symptoms of CSD. In particular, we described the case of a child with ptosis, miosis and enophtalmy, suggesting Horner syndrome, associated with cervical lymphadenitis. Cat scratch was mentioned in only one patient, while four of them mentioned a recent contact with cats. We reviewed and discussed the incidence of these atypical presentations of CSD as well as the therapeutic approaches recommended and the available diagnostic tools. Conclusions: This paper highlighted the need to exclude CSD in children with unexplained symptoms such as prolonged fever, hepatosplenic lesion and osteomyelitis. | en |
| DOI | https://doi.org/10.5812/pedinfect.28272 | en |
| Keyword | Bartonella Henselae | en |
| Keyword | Cat-Scratch Disease | en |
| Keyword | Horner Syndrome | en |
| Keyword | Osteomyelitis | en |
| Keyword | Atypical Presentation | en |
| Keyword | Systemic Manifestation | en |
| Publisher | Brieflands | en |
| Title | Atypical Cat-Scratch Disease in Children: Report of Seven Presentations Ranging From Hepatosplenic Disease to Horner Syndrome | en |
| Type | Case Report | en |
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